{
  "resourceType" : "DiagnosticReport",
  "id" : "DiagnosticReport-ctDNA",
  "meta" : {
    "versionId" : "1.0",
    "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/DiagnosticReport"]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport DiagnosticReport-ctDNA</b></p><a name=\"DiagnosticReport-ctDNA\"> </a><a name=\"hcDiagnosticReport-ctDNA\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1.0</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DiagnosticReport.html\">Diagnostic Report</a></p></div><h2><span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory M4.14}, {http://snomed.info/sct 1054161000000101}\">Genetic report</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Theon SHEFFIELD (official) Male, DoB: 1986-09-12 ( Patient internal identifier)</td></tr><tr><td>Relevant Time</td><td>2025-10-14 15:59:16+0000</td></tr><tr><td>Performer</td><td> NW GMSA (Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/699X0)</td></tr><tr><td>Identifier</td><td> <code>https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier</code>/T26-59XG</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicTestOutcomeCode 431}\">TARGET DETECTED AT A LEVEL REQUIRING CLINICAL ACTION</span></li></ul></div>"
  },
  "identifier" : [{
    "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
    "value" : "T26-59XG",
    "assigner" : {
      "identifier" : {
        "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
        "value" : "699X0"
      }
    }
  }],
  "basedOn" : [{
    "reference" : "urn:uuid:6e26d6b3-490e-4348-9d6c-37281567d6ec",
    "type" : "ServiceRequest",
    "identifier" : {
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
          "code" : "FILL"
        }]
      },
      "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
      "value" : "T26-59XG",
      "assigner" : {
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "699X0"
        }
      }
    }
  }],
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
      "code" : "GE",
      "display" : "Genetics"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
      "code" : "M4.14"
    },
    {
      "system" : "http://snomed.info/sct",
      "code" : "1054161000000101",
      "display" : "Genetic report"
    }]
  },
  "subject" : {
    "reference" : "urn:uuid:2160525b-0168-4f40-8ebf-9b053052a62c",
    "identifier" : {
      "system" : "https://fhir.nhs.uk/Id/nhs-number",
      "value" : "9737873858"
    },
    "display" : "Theon SHEFFIELD"
  },
  "effectiveDateTime" : "2025-10-14T15:59:16+00:00",
  "performer" : [{
    "type" : "Organization",
    "identifier" : {
      "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
      "value" : "699X0"
    },
    "display" : "NW GMSA"
  }],
  "resultsInterpreter" : [{
    "display" : "Jonathan Edgerley"
  }],
  "conclusionCode" : [{
    "coding" : [{
      "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicTestOutcomeCode",
      "code" : "431",
      "display" : "TARGET DETECTED AT A LEVEL REQUIRING CLINICAL ACTION"
    }]
  }],
  "presentedForm" : [{
    "contentType" : "application/pdf",
    "language" : "en-GB",
    "url" : "urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f",
    "title" : "ctDNA Genomic Report for Theon Sheffield"
  }]
}